A 31 year old male who emigrated from Mexico 3 years prior to admission, was brought to the ER by his family with a witnessed seizure. He had been previously healthy. Neurologic examination demonstrated no focal findings. A CT scan of the head showed multiple small cystic and calcified lesions. CSF analysis showed 22 WBC's, with 5 % neutrophils, 89 %lymphocytes and 6 % monocytes. The CSF glucose was 63 mg/dl and protein was 36 mg/dl.
2. What is the most likely diagnosis and why? Answer
3. How can the diagnosis be established? Answer
4. Interpret the CSF findings. Answer
5. Describe the life cycle of this parasite. Answer
6. Discuss the epidemiology of this parasitic infection. Answer
7. How does infection with this parasite occur? Answer
8. What other organs may be involved? Answer
9. How would you treat this infection? Answer
10. What control measures are available to prevent its transmission? Answer